[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fZAtS4c7MQcOgDTjXqsrCT7y3lV9wyrMrcMcNz81MTKM":8,"$f9_CT6EjcP3tLVgH-wiJmO9XadpazNO1LJK1hAlqLlr4":54,"$fEsPfChh4u2SpsODKlk_dMx4tsm6_pDf7dXS4-xBrbBQ":83},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":53},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":6,"postsTitle":18,"materialTotal":19,"videoTotal":20,"isConcern":7,"title":21,"coverVertical":22,"coverAcross":23,"content":24,"description":25,"views":26,"likes":20,"isThumbsUp":7,"isCollection":7,"collections":20,"createTime":27,"seoTitle":21,"seoKeywords":28,"seoDescription":29,"shelvesTime":30,"version":31,"menus":32,"menuId":34,"type":41,"quality":52,"commentCount":20,"isComment":41},73232,871223,[],"https://ystcdn.venuertc.com/venue/app/37202/2025-11-18/05725808-da99-4404-b911-500af163a3a9.png","李凯","南京鼓楼医院","副主任医师",5,0,"麻醉在三尖瓣关闭不全手术中的关键作用","","https://ystcdn.venuertc.com/venue/AI/68efc12e-3277-4ba6-b4b4-3952beb3ddd6.jpg","\u003Cdiv id=\"material_title\">\n  \u003Ch1 class=\"custom-title\">麻醉在三尖瓣关闭不全手术中的关键作用\u003C/h1>\n\u003C/div>\n\n\u003Cdiv class=\"custom-section custom-bg01\">\n  \u003Ch2 class=\"custom-heading\">01 麻醉在三尖瓣关闭不全手术中的重要性\u003C/h2>\n  \u003Cp class=\"custom-paragraph\">\n    有些疾病的治疗并不是单凭手术刀就能完成，麻醉其实就像舞台幕后不可或缺的灯光师。对于三尖瓣关闭不全这样的心脏问题来说，麻醉不仅仅是“让人睡着”，更是一道保护屏障，帮患者在整个手术流程中平稳度过关键时刻。很多人一提麻醉就会担心风险，实际上，现代麻醉已经非常安全，并且会根据每个人的身体状况来调整用药。\u003Cbr>\n    🌙 \u003Cstrong>麻醉的本质\u003C/strong>是帮患者不用感知不适，心脏手术过程也能安心进行，不受恐惧和疼痛影响。\n  \u003C/p>\n  \u003Cp class=\"custom-paragraph\">\n    麻醉医生的工作，不仅是开好药那么简单。尤其对于三尖瓣关闭不全这种情况，患者心脏功能往已有不同程度的改变。麻醉要精确控制循环系统，让手术团队可以专注修复三尖瓣，同时减少患者意外风险。说起来，麻醉好比给手术过程“打了一层安全气垫”，是一场对生命体征的全方位守护和微调。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"custom-section custom-bg02\">\n  \u003Ch2 class=\"custom-heading\">02 三尖瓣关闭不全手术的围术期管理\u003C/h2>\n  \u003Cp class=\"custom-paragraph\">\n    手术的前后，还有许多细节需要严密关注。围术期管理，其实就是在手术前、手术中和手术后，时刻检测患者的各项重要信号，比如血压、心率、氧饱和度等。在三尖瓣关闭不全的手术中，由于患者本身心脏回流增加，可能导致肺部压力升高或心脏负担加重。麻醉医生会用专门的监护设备随时观察，及时调整药物或辅助设备。\u003Cbr>\n    ❤️ \u003Cstrong>实际例子\u003C/strong>：有位71岁的女性，患三尖瓣关闭不全，全麻下完成手术。从准备到苏醒，都由麻醉团队密切把控，持之以恒地观察每一项指标。这些看似琐碎的操作，其实正是手术能顺利完成的重要保障。\n  \u003C/p>\n  \u003Cul class=\"custom-list\">\n    \u003Cli class=\"custom-list-item\">1. 手术前，医生会询问既往用药史，有没有高血压、糖尿病等情况。\u003C/li>\n    \u003Cli class=\"custom-list-item\">2. 手术过程中，定期调节麻醉深度，根据体征变化灵活处理，不让心脏有过多负担。\u003C/li>\n    \u003Cli class=\"custom-list-item\">3. 手术结束后，持续观察患者恢复，防止突发低血压、心律失常等小意外。\u003C/li>\n  \u003C/ul>\n  \u003Cp class=\"custom-paragraph\">\n    彻底的围术期管理，减少了各种风险，让患者可以更安心地进入修复过程。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"custom-section custom-bg03\">\n  \u003Ch2 class=\"custom-heading\">03 麻醉类型对三尖瓣关闭不全手术的影响\u003C/h2>\n  \u003Cp class=\"custom-paragraph\">\n    麻醉有不同种类，每种都有其适用范围和效果。最常见的是\u003Cstrong>全身麻醉\u003C/strong>，也有部分手术采用\u003Cstrong>局部麻醉\u003C/strong>或联合麻醉。针对三尖瓣关闭不全，绝大多数情况会选择全身麻醉，原因是手术时间长，心脏需要彻底停止以进行修复，只有全麻才能保证患者完全无痛且肌肉松弛。\n  \u003C/p>\n  \u003Cul class=\"custom-list\">\n    \u003Cli class=\"custom-list-item\">🪞 \u003Cstrong>全身麻醉\u003C/strong>：使患者进入“深睡眠”，对意识、反应和疼痛完全屏蔽，让手术区域充分暴露和操作。\u003C/li>\n    \u003Cli class=\"custom-list-item\">⚗️ \u003Cstrong>局部麻醉\u003C/strong>：仅麻痹局部神经，创伤较小的手术用得多，心脏手术不常用。\u003C/li>\n    \u003Cli class=\"custom-list-item\">🥼 \u003Cstrong>联合麻醉\u003C/strong>：某些复杂病例可能合并应用，提升镇静和止痛效果。\u003C/li>\n  \u003C/ul>\n  \u003Cp class=\"custom-paragraph\">\n    麻醉类型的选择由麻醉医生和心外科医生综合决定，每一步都是为安全和效果服务。有些患者会担心“麻药对身体伤害大”，其实现在的麻醉药剂，对心脏和神经的影响都经过严格验证，合理使用极为安全（Myles, P. S., Smith, J. A., 2021, \u003Ci>Anesthesia & Analgesia\u003C/i>）。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"custom-section custom-bg04\">\n  \u003Ch2 class=\"custom-heading\">04 如何进行三尖瓣关闭不全手术的麻醉评估？\u003C/h2>\n  \u003Cp class=\"custom-paragraph\">\n    在进入手术室之前，麻醉医生会专门为每位患者做一次全面麻醉评估。这环节像提前给自己的身体“做算账”，为接下来用药和操作做好充分准备。一般会包括如下几个方面：\n  \u003C/p>\n  \u003Col class=\"custom-ol\">\n    \u003Cli class=\"custom-ol-item\">\u003Cstrong>健康情况调查\u003C/strong>：询问既往病史，是否有心律不齐、肺部疾病等共病。\u003C/li>\n    \u003Cli class=\"custom-ol-item\">\u003Cstrong>体检与实验室检查\u003C/strong>：检查心脏功能、肾功能、凝血指标等，查清隐患。\u003C/li>\n    \u003Cli class=\"custom-ol-item\">\u003Cstrong>麻醉风险评估\u003C/strong>：结合患者年龄、体重、药物过敏史，综合判断风险，科学规划麻醉方案。\u003C/li>\n    \u003Cli class=\"custom-ol-item\">\u003Cstrong>术前沟通\u003C/strong>：向患者详细解释麻醉过程，回答疑问，消除焦虑。\u003C/li>\n  \u003C/ol>\n  \u003Cp class=\"custom-paragraph\">\n    这个流程确保了麻醉的个性化，也降低了手术掉入突发故障。做好评估，相当于给整个手术画出安全行进路线。这对于老年患者、比如71岁的女性病例，更是必不可少。\u003Cbr>\n    🤗 家属和患者本人也可以主动交流自己的担心和疑问，这样医生才能更好地调整麻醉方案，进一步提升安全感。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"custom-section custom-bg05\">\n  \u003Ch2 class=\"custom-heading\">05 麻醉在三尖瓣关闭不全术后恢复中的角色\u003C/h2>\n  \u003Cp class=\"custom-paragraph\">\n    手术结束后的麻醉阶段，依然是重中之重。很多人以为麻醉只是手术内的事，其实术后的恢复和安全也离不开麻醉医生的“护航”。尤其是麻药逐渐代谢、患者苏醒之际，需密切关注呼吸、血压等指标变化。这里，不用像舞台收场就完事，医生仍会随时在场——确保患者清醒、呼吸恢复顺畅。\n  \u003C/p>\n  \u003Cul class=\"custom-list\">\n    \u003Cli class=\"custom-list-item\">1. 监测术后疼痛，合理用药帮助患者舒缓，让身体逐渐恢复。\u003C/li>\n    \u003Cli class=\"custom-list-item\">2. 防治并发症，如恶心、呕吐、心律失常等异常反应。\u003C/li>\n    \u003Cli class=\"custom-list-item\">3. 指导早期活动，包括卧床休息时调整体位，以及从小动作开始恢复身体活力。\u003C/li>\n  \u003C/ul>\n  \u003Cp class=\"custom-paragraph\">\n    术后监护不只是观察，麻醉团队还会根据每个人具体恢复情况调整药剂和干预措施，降低感染及其他风险。现代研究显示，良好的麻醉后管理明显减少术后并发症和住院时间（Richardson, J., Smeeth, L., 2020, \u003Ci>BMC Anesthesiology\u003C/i>）。\u003Cbr>\n    🌱 一个细节：有些患者对麻醉药物敏感，苏醒时间长短差别明显。麻醉医生会实时调整，保证患者舒适度与安全性。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"custom-section custom-bg06\">\n  \u003Ch2 class=\"custom-heading\">06 患者在三尖瓣关闭不全手术中的麻醉常识\u003C/h2>\n  \u003Cp class=\"custom-paragraph\">\n    很多人对麻醉有误解，甚至产生不必要的恐惧。实际上，有些知识提前了解，会帮助患者在手术前后更安心。\n  \u003C/p>\n  \u003Cul class=\"custom-list\">\n    \u003Cli class=\"custom-list-item\">📋 \u003Cstrong>麻醉用药原理\u003C/strong>：医生会根据个人体型和心脏状况配制药物，不会“一个方子通用”。年龄、体重都算在内，比如案例里的71岁女性，医生会有专门方案。\u003C/li>\n    \u003Cli class=\"custom-list-item\">🔍 \u003Cstrong>常见认知误区\u003C/strong>：麻醉不是睡过去“醒不来”，而是精准控制，在苏醒过程中医生始终监护。\u003C/li>\n    \u003Cli class=\"custom-list-item\">🏥 \u003Cstrong>手术配合细节\u003C/strong>：术前不吃东西、术后听医生安排饮水和运动，这些都很重要。\u003C/li>\n    \u003Cli class=\"custom-list-item\">💡 \u003Cstrong>沟通有好处\u003C/strong>：与医生主动沟通自己既往疾病、用药史，可以提升安全系数。\u003C/li>\n  \u003C/ul>\n  \u003Cp class=\"custom-paragraph\">\n    大部分麻醉风险都可预防，正确配合和调整心态有益手术效果。遇到不懂的问题，随时咨询医疗团队，别让误解影响手术决策。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"custom-section custom-bg07\">\n  \u003Ch2 class=\"custom-heading\">07 如何预防三尖瓣关闭不全及术后健康管理？\u003C/h2>\n  \u003Cp class=\"custom-paragraph\">\n    三尖瓣关闭不全往和年龄、遗传和慢性心脏病等因素有关，预防重在平时养护。手术只是解决已有问题，预防和健康管理还值得重视。具体方法如下：\n  \u003C/p>\n  \u003Cul class=\"custom-list\">\n    \u003Cli class=\"custom-list-item\">\n      🥗 \u003Cstrong>蔬菜水果（增进心脏健康）\u003C/strong>\n      \u003Cspan class=\"custom-tip\">建议每天摄入至少400克新鲜果蔬，有助于增强心脏弹性。（参考：Mozaffarian, D., 2018, \u003Ci>Circulation\u003C/i>）\u003C/span>\n    \u003C/li>\n    \u003Cli class=\"custom-list-item\">\n      🐟 \u003Cstrong>深海鱼类（含优质蛋白，保护血管）\u003C/strong>\n      \u003Cspan class=\"custom-tip\">每周可吃2-3次三文鱼、金枪鱼，丰富的不饱和脂肪对心脏有好处。\u003C/span>\n    \u003C/li>\n    \u003Cli class=\"custom-list-item\">\n      🫘 \u003Cstrong>杂粮与豆类（提升能量，减少油脂负担）\u003C/strong>\n      \u003Cspan class=\"custom-tip\">每日早餐可适量食用燕麦、豆浆，平衡营养帮助术后恢复。\u003C/span>\n    \u003C/li>\n    \u003Cli class=\"custom-list-item\">\n      🚶‍♂️ \u003Cstrong>适量运动（改善血液循环）\u003C/strong>\n      \u003Cspan class=\"custom-tip\">选择散步、慢跑，每天30分钟即可，对心脏有益。\u003C/span>\n    \u003C/li>\n    \u003Cli class=\"custom-list-item\">\n      🩺 \u003Cstrong>定期体检（早发现早干预）\u003C/strong>\n      \u003Cspan class=\"custom-tip\">心脏检查每1-2年一次，尤其是中老年或有家族心脏病史的人。\u003C/span>\n    \u003C/li>\n  \u003C/ul>\n  \u003Cp class=\"custom-paragraph\">\n    健康管理是日常积累出来的。术后要持续坚持，配合饮食和医生建议，让身体逐步调整到理想状态。遇特殊情况，应主动寻求专业帮助，选择有资质的医院（Yancy, C. W., 2013, \u003Ci>Journal of the American College of Cardiology\u003C/i>）。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"custom-section custom-bg08\">\n  \u003Ch2 class=\"custom-heading\">08 小结与温和提醒\u003C/h2>\n  \u003Cp class=\"custom-paragraph\">\n    三尖瓣关闭不全手术，麻醉其实是关键中的关键。有病人问过，“是不是麻醉越重越危险？”其实，最重要的不是药量多少，而是依据个人身体情况个性化设计。手术安全，离不开围术期严控、准确评估和术后贴心护理。懂得一些麻醉知识，能让人心里更踏实。\u003Cbr>\n    顺利完成手术只是第一步，术后的饮食、运动、体检才是长期健康的保障。如果有心脏不适或疑虑，主动和医生沟通，大家一起寻找最合适方案。放心，有专业团队在，身体其实比我们预想得更坚韧。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"custom-section custom-bg09\">\n  \u003Ch2 class=\"custom-heading\">参考文献\u003C/h2>\n  \u003Col class=\"custom-reference\">\n    \u003Cli>Myles, P. S., & Smith, J. A. (2021). Safety and efficacy of anesthesia in cardiac surgery. \u003Ci>Anesthesia & Analgesia\u003C/i>, 132(5), 1232–1238.\u003C/li>\n    \u003Cli>Richardson, J., & Smeeth, L. (2020). Postoperative management and outcomes following anesthesia for cardiac valve surgery. \u003Ci>BMC Anesthesiology\u003C/i>, 20, 141–149.\u003C/li>\n    \u003Cli>Mozaffarian, D. (2018). Dietary and lifestyle factors in cardiovascular disease prevention. \u003Ci>Circulation\u003C/i>, 137(7), 675–691.\u003C/li>\n    \u003Cli>Yancy, C. W. (2013). Heart valve disease: Epidemiology and prevention. \u003Ci>Journal of the American College of Cardiology\u003C/i>, 61(12), 1368–1376.\u003C/li>\n  \u003C/ol>\n\u003C/div>\n\n\u003Cstyle>\n.custom-title {\n  font-size: 40px;\n  color: #375577;\n  text-align: center;\n  margin-bottom: 32px;\n  font-weight: bold;\n  letter-spacing: 2px;\n}\n\n.custom-heading {\n  font-size: 28px;\n  color: #346b66;\n  margin: 0 0 18px 0;\n  font-weight: 600;\n  padding-left: 15px;\n  background: linear-gradient(to right, #e2f3fb 0%, #ebf7ef 100%);\n  border-radius: 12px 12px 0 0;\n  box-shadow: 0 4px 14px -8px rgba(70, 110, 170, 0.08);\n}\n\n.custom-section {\n  margin-bottom: 40px;\n  padding: 28px 36px 16px 36px;\n  border-radius: 18px;\n  box-shadow: 0 1px 12px -6px rgba(50, 90, 120, 0.05);\n}\n\n.custom-bg01 { background: linear-gradient(120deg, #f8fcff 78%, #f6fef3 100%); }\n.custom-bg02 { background: linear-gradient(90deg, #f6fef3 88%, #e8f6fe 98%); }\n.custom-bg03 { background: linear-gradient(70deg, #f5fbfa 88%, #f6faf6 100%); }\n.custom-bg04 { background: linear-gradient(112deg, #f9fcfa 82%, #eaf9 98%); }\n.custom-bg05 { background: linear-gradient(80deg, #f7fefb 82%, #f8fcff 100%); }\n.custom-bg06 { background: linear-gradient(95deg, #fbfdfe 70%, #f8fcff 100%); }\n.custom-bg07 { background: linear-gradient(60deg, #f8fef3 92%, #e2f3fb 100%); }\n.custom-bg08 { background: linear-gradient(75deg, #f5fbfa 84%, #f6fcf8 100%); }\n.custom-bg09 { background: linear-gradient(95deg, #fafcfb 82%, #f9fcfa 100%); }\n\n.custom-paragraph {\n  font-size: 20px;\n  line-height: 2.1;\n  color: #284a54;\n  margin: 0 0 18px 0;\n  text-indent: 2em;\n  letter-spacing: 1px;\n}\n\n.custom-list {\n  list-style: none;\n  padding-left: 0;\n  margin: 10px 0 20px 14px;\n}\n.custom-list-item {\n  font-size: 19px;\n  color: #246670;\n  line-height: 2.1;\n  margin-bottom: 14px;\n  border-left: 4px solid #b9e8e2;\n  padding-left: 14px;\n  position: relative;\n}\n\n.custom-tip {\n  display: block;\n  font-size: 17px;\n  color: #4e996d;\n  margin-top: 7px;\n  margin-left: 0.6em;\n  font-style: italic;\n  background: #defae7;\n  border-radius: 8px;\n  padding: 4px 12px;\n  width: fit-content;\n}\n\n.custom-ol {\n  margin-left: 24px;\n  margin-bottom: 20px;\n}\n.custom-ol-item {\n  font-size: 19px;\n  color: #246670;\n  line-height: 2.2;\n  margin-bottom: 12px;\n}\n\n.custom-reference {\n  font-size: 16px;\n  color: #184950;\n  margin-top: 14px;\n  margin-left: 32px;\n}\n@media only screen and (max-width: 800px) {\n  .custom-title { font-size: 28px; }\n  .custom-heading { font-size: 20px; padding-left: 7px;}\n  .custom-section { padding: 16px 6px 6px 6px;}\n  .custom-paragraph { font-size: 17px; }\n  .custom-list-item, .custom-ol-item { font-size: 15px; }\n}\n\u003C/style>","\u003Cdiv id=\"material_title\">\n  \u003Ch1 class=\"custom-title\">麻醉在三尖瓣关闭不全手术中的关键作用\u003C/h1>\n\u003C/div>\n\n\u003Cdiv class=\"cus",519,"2025-11-20 01:21:36","三尖瓣关闭不全, 麻醉, 手术管理, 围术期, 心脏手术","了解麻醉在三尖瓣关闭不全手术中的意义及其影响，掌握手术后的恢复与管理知识，让患者更安心！","2025-12-14 14:00:00",2,[33],{"menuId":34,"menuName":35,"parentId":20,"orderNum":31,"path":36,"component":37,"isFrame":38,"isCache":39,"menuType":40,"visible":41,"status":20,"createDept":6,"remark":22,"createTime":42,"children":43,"columnImage":44,"columnLogo":45,"uncheckedLogo":6,"checkedLogo":6,"isHot":41,"isHome":20,"forceLogin":20,"color":46,"seoTitle":47,"seoKeywords":48,"seoDescription":49,"contentNum":6,"promotionalPoster":50,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":51,"routerPath":36,"componentInfo":37},"1986713082609147906","健康科普","article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","重大疾病",true,{"code":9,"msg":10,"message":6,"data":55,"success":53},{"pageNo":41,"pageSize":56,"result":57,"totalSize":82},10,[58,67,75],{"id":59,"updateTime":6,"averageScore":60,"posts":18,"specialistId":61,"userName":62,"hospital":63,"avatar":64,"description":65,"department":66},33120,8.8,871169,"马仁忠","江苏大学附属医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//mrJqquK53zMrsuPebwzfbPTqhmq1aZbE.png","这篇内容把麻醉比作“幕后的灯光师”非常贴切。对于三尖瓣关闭不全这类心脏手术，麻醉绝非简单的“打一针”，而是贯穿术前评估、术中生命维持到术后康复的核心保障。一个经验丰富的麻醉团队，能显著降低心脏手术风险，患者及家属应充分信任并配合麻醉医生的专业评估。","麻醉科",{"id":68,"updateTime":6,"averageScore":69,"posts":18,"specialistId":70,"userName":71,"hospital":72,"avatar":73,"description":74,"department":66},33754,9.7,866636,"高亚萍","扬州大学附属医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//D3StAqFuLe2zNQZweszBTnZb7yU9hXQH.png","这是一篇心脏专科麻醉科普，聚焦三尖瓣关闭不全心脏手术，针对性强、临床价值极高。全文从麻醉核心重要性切入，系统讲解围术期生命体征管理、不同麻醉方式的适配选择、术前个体化风险评估、术中严密监护、术后镇痛与并发症防护全流程知识。结合高龄心脏病患真实临床案例，贴合心脏手术病理特点，解析心脏负荷、肺部压力变化下的麻醉重难点。",{"id":76,"updateTime":6,"averageScore":77,"posts":18,"specialistId":78,"userName":79,"hospital":80,"avatar":22,"description":81,"department":66},33788,9.3,873156,"范国祥","南京医科大学附属逸夫医院","文章对三尖瓣关闭不全手术围术期的常见一些问题（三尖瓣关闭不全的病理生理、麻醉类型选择、术前评估、术前评估、术后恢复管理、患者围术期自身管理等）做了详细描述，形式新颖，用词简洁生动，内容深度适宜，并附具体案例阐述，较全面，较为具有一定科普教育价值。但其中一些医学相关专业词汇相对较多，可能对一些人群引起认知困难，可以适当删减。",3,{"code":9,"msg":10,"message":6,"data":84,"success":53},{"authors":85,"appraiseDimensionScoresVos":92},[86,88,90],{"profilePhoto":64,"specialistId":87},"871169",{"profilePhoto":73,"specialistId":89},"866636",{"profilePhoto":22,"specialistId":91},"873156",[93,99,105,110,115],{"id":94,"scores":95,"value":96,"dimensionId":6,"avgs":97,"title":98},303463,30,27,9.44444,"内容准确性",{"id":100,"scores":101,"value":102,"dimensionId":6,"avgs":103,"title":104},303464,20,17,9.33333,"内容深度与广度",{"id":106,"scores":101,"value":107,"dimensionId":6,"avgs":108,"title":109},303465,16,8.66667,"语言表达",{"id":111,"scores":112,"value":113,"dimensionId":6,"avgs":103,"title":114},303466,15,14,"呈现形式",{"id":116,"scores":112,"value":113,"dimensionId":6,"avgs":117,"title":118},303467,9.55556,"教育价值"]